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上肢缺损的带血管蒂骨移植重建：综述

Vascularized Bone Graft Reconstruction for Upper Extremity Defects: A Review.

作者信息

Chappell Ava G, Ramsey Matthew D, Dabestani Parinaz J, Ko Jason H

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Medical Center, Maywood, Illinois.

出版信息

Arch Plast Surg. 2023 Feb 6;50(1):82-95. doi: 10.1055/s-0042-1758639. eCollection 2023 Jan.

DOI:10.1055/s-0042-1758639
PMID:36755653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9902088/
Abstract

Upper extremity reconstruction may pose clinical challenges for surgeons due to the often-critical, complex functional demands of the damaged and/or missing structures. The advent of vascularized bone grafts (VBGs) has aided in reconstruction of upper extremity (UE) defects due to their superior regenerative properties compared with nonvascularized bone grafts, ability to reconstruct large bony defects, and multiple donor site options. VBGs may be pedicled or free transfers and have the potential for composite tissue transfers when bone and soft tissue are needed. This article provides a comprehensive up-to-date review of VBGs, the commonly reported donor sites, and their indications for the treatment of specific UE defects.

摘要

由于受损和/或缺失结构通常具有关键且复杂的功能需求，上肢重建对外科医生而言可能带来临床挑战。带血管骨移植（VBGs）的出现有助于上肢（UE）缺损的重建，因为与非带血管骨移植相比，它们具有更优越的再生特性、能够重建大的骨缺损以及有多种供区选择。VBGs可以是带蒂转移或游离转移，在需要骨和软组织时还具有复合组织转移的潜力。本文对上肢带血管骨移植、常见的供区及其治疗特定上肢缺损的适应证进行了全面的最新综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/c389ee321fd9/10-1055-s-0042-1758639-i21246-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/55d09720ca0c/10-1055-s-0042-1758639-i21246-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/14e125931e6a/10-1055-s-0042-1758639-i21246-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/6b8c11a54962/10-1055-s-0042-1758639-i21246-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/c389ee321fd9/10-1055-s-0042-1758639-i21246-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/55d09720ca0c/10-1055-s-0042-1758639-i21246-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/14e125931e6a/10-1055-s-0042-1758639-i21246-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/6b8c11a54962/10-1055-s-0042-1758639-i21246-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0edb/9902088/c389ee321fd9/10-1055-s-0042-1758639-i21246-4.jpg

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J Hand Surg Eur Vol. 2021 Dec;46(10):1032-1041. doi: 10.1177/17531934211019349. Epub 2021 Jun 2.
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The Medial Metaphyseal Periosteal Artery (MMPA): An Alternate Pedicle for the Medial Femoral Trochlea Flap.内侧干骺端骨膜动脉（MMPA）：内侧股骨滑车瓣的另一种蒂。
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Vascularized bone grafts for post-traumatic defects in the upper extremity.
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血管化骨移植的三维规划：在手和前臂复杂骨重建中的实施与手术应用
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J Hand Microsurg. 2024 Dec 8;17(2):100198. doi: 10.1016/j.jham.2024.100198. eCollection 2025 Mar.
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Enhancing cranial defect repair in rats: investigating the effect of combining Total Flavonoids from Rhizoma Drynariae with calcium phosphate/collagen scaffolds.增强大鼠颅骨缺损修复：研究将密花骨碎补总黄酮与磷酸钙/胶原支架相结合的效果。
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Application of stem cells in regeneration medicine.干细胞在再生医学中的应用。
MedComm (2020). 2023 Jun 17;4(4):e291. doi: 10.1002/mco2.291. eCollection 2023 Aug.
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